Individual
DIANE R FOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
(510) 675-5562
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
(510) 675-5562
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2621
CA
Other
Enumeration date
04/02/2007
Last updated
08/03/2015
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